Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F837 in Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F837 more often than its own record predicts
Versus expected share2.88×
2.88 times the share F837 takes of citations nationally.
Share of Montana citations0.16%
Of every deficiency written in Montana in 2025, this is the portion that was F837.
Montana0.16%
National0.05%
Share of all citations that were F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Montana surveyors wrote
F837 findings written in Montana, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
F · No harm, potential for more than minimal, widespreadFebruary 10, 2026
Based on interview and record review, the facility's governing body failed to ensure necessary oversight was provided for the identification and correction of quality deficient practices directly involving staff member A and oversight of the facility's systems and services. The facility had two consecutive surveys with findings of Immediate Jeopardy in the areas of F689 - Accidents and Hazards, and multiple deficiencies were identified directly involving staff member A's failures to take necessary or appropriate action on a concern. This deficient practice placed residents in the facility at continued risk of their needs not being met related to safety, care, and services provided. …
C · No harm, potential for minimal, widespreadOctober 3, 2019
Based on interview and record review, the facility's governing body failed to employ an Administrator that was licensed in the State of Montana. This failure had the potential to affect all residents. Findings include:
During the entrance conference interview on 9/30/19 at 4:36 p.m., NF2 stated he was the Director of Operations, was licensed as an Administrator in Idaho, and was waiting for his Montana license. NF2 stated his Montana license was in the mail. Staff member A stated she was the DON and had been the acting Administrator for the past 1.5 weeks. …
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